| NPI | 1104337971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MICHALOWSKI Nurse Practitioner 517-347-4848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704114720) |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2021-07-14 |